Dr. Kerusso Pooley Dominguez is a Greensboro, North Carolina based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kerusso Pooley Dominguez is
14826 for General Practice Dentistry in North Carolina. His current practice location is
4215 W Wendover Ave, Greensboro. Patients can reach him at
336-569-8669.
Dr. Kerusso Pooley Dominguez is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kerusso Pooley Dominguez speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kerusso Pooley Dominguez |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4215 W Wendover Ave, Greensboro,
North Carolina, 27407-1921 |
| Phone: | 336-569-8669 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1841122462 |
| NPI Enumeration Date: | 29 May, 2026 |
| NPI Last Update On: | 29 Jun, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kerusso Pooley Dominguez are as mentioned below.
| License Number | Specialization | State | Status | |
| 14826 | General Practice Dentistry | North Carolina | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4215 W Wendover Ave,
Greensboro, North Carolina |
| Zip: | 27407-1921 |
| Phone Number: | 336-569-8669 |
Patients can reach Dr. Kerusso Pooley Dominguez at
4215 W Wendover Ave, Greensboro, North Carolina or can
call to book an appointment on 336-569-8669.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.